Healthcare Provider Details

I. General information

NPI: 1245780949
Provider Name (Legal Business Name): LINDSEY L MOCHEL FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/06/2016
Last Update Date: 09/14/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1526 COLE BLVD STE 300
LAKEWOOD CO
80401-3410
US

IV. Provider business mailing address

1526 COLE BLVD STE 300
LAKEWOOD CO
80401-3410
US

V. Phone/Fax

Practice location:
  • Phone: 303-379-9371
  • Fax: 303-284-4082
Mailing address:
  • Phone: 303-379-9371
  • Fax: 303-284-4082

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP131859
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License NumberC-APN-0000867-C-NP
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: